| Forrest Blake Kostek, | |
|
291 E Swanson Ave, Wasilla, AK 99654-7004 | |
| (907) 715-9423 | |
| Not Available |
| Full Name | Forrest Blake Kostek |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 291 E Swanson Ave, Wasilla, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104425172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Forrest Blake Kostek, 291 E Swanson Ave, Wasilla, AK 99654-7004 Ph: (907) 715-9423 | Forrest Blake Kostek, 291 E Swanson Ave, Wasilla, AK 99654-7004 Ph: (907) 715-9423 |
Elizabeth Tucker Knecht, MS, CD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Diana Lucero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Gypsy Gillum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-376-3275 | |
Ms. Sarah Ruth Welton, M.S.C.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suite B, Wasilla, AK 99654 Phone: 907-373-5585 Fax: 907-373-5596 | |
Theresa Marie Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-330-2487 | |
Carly Woodward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 S Seward Meridian Pkwy, Wasilla, AK 99654 Phone: 907-631-3520 | |
Brittany Oaks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St Ste E, Wasilla, AK 99654 Phone: 907-885-0989 |